Biliary calculus associated with opisthorchiasis

Henry Wilde U. S. Diplomatic Mission Medical Center and U. S. Army Hospital, Bangkok, Thailand, and the Department of Medicine, University of Oregon School of Medicine, Portland, Oregon 97201

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The case of a 20-year-old Laotian student with cholangitis, Gram-negative speticemia, and a large common duct stone associated with heavy infection by Opisthorchis viverrini is presented. Opisthorchis infection has been previously related to chronic cholangitis and an increased risk of hepatic malignancy. The formation of biliary stones as a result of infection with this parasite also appears to be possible.

Author Notes

Present address: Regional Medical Office, American Embassy Beirut, Department of State, Washington, D. C. 20521.